CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Bay Area Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $386
  • Cash Discount Price: $631
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Bay Area Hospital is $386. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $631. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.58x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.
Cash / Self-Pay
$631

Average discount available for prompt cash payment at this facility.

Insurance Median
$386

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $631 (259%)
Insurance Median: $386 (158%)
Cash: $631 (259% of Medicare)
Ins. Median: $386 (158% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Healthnet Mcr Adv $35 - $307 14%
Moda Hlth Mcr Adv $35 - $312 14%
Southwest Oregon Ipa - All Plans $39 - $236 16%
Blue Cross Blue Shield $41 - $5,554 17%
Nasomah Hlth Grp - All Plans $78 - $931 32%
Ods Ppo/Pos - All Plans $80 - $1,105 33%
Moda Beacon - All Other Plans $85 - $770 35%
Moda Connexus/Synergy $94 - $1,380 39%
Healthnet Comm- All Other Plans $124 - $1,473 51%
Healthnet Mcaid $131 - $284 54%
Prov Behav Hlth $386 158%
Providence - All Other Plans $386 - $1,442 158%
Providence Pebb $386 - $1,096 158%
Pacificsource - All Plans $441 - $1,318 181%
First Choice - All Plans $1,411 579%
Aetna $1,427 585%
Cigna $1,427 585%
UnitedHealthcare $1,473 604%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1775 Thompson Road, Coos Bay, OR 97420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals